Provider Demographics
NPI:1871307926
Name:HODJAT, NINA SABRINA (BS, CLES, CD, PCD)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:SABRINA
Last Name:HODJAT
Suffix:
Gender:F
Credentials:BS, CLES, CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4436 GAVIOTA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2513
Mailing Address - Country:US
Mailing Address - Phone:562-221-2806
Mailing Address - Fax:
Practice Address - Street 1:4436 GAVIOTA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2513
Practice Address - Country:US
Practice Address - Phone:562-221-2806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula